Slota, Bozena Rozum

Slota, Bozena Rozum is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Slota, Bozena Rozum can be contacted via phone (607) 763-6151.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2143
Phone: (607) 763-6151
Fax: (607) 763-5252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 208938 New York

Profile Details

NPI number 1699760967
LBN Legal business name Slota, Bozena Rozum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated May 22nd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699760967 NPPES
New York MEDICAID 02056173

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